Provider Demographics
NPI:1609028323
Name:MEINERS, ELIZABETH URSULA (PT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:URSULA
Last Name:MEINERS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4624 RUNNINGFAWN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-7532
Mailing Address - Country:US
Mailing Address - Phone:513-205-6871
Mailing Address - Fax:
Practice Address - Street 1:4624 RUNNINGFAWN DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-7532
Practice Address - Country:US
Practice Address - Phone:513-205-6871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH11404225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist